The FDA, USDA FSIS, and the CDC, in collaboration with state and local partners, are investigating illnesses in a multistate outbreak of Listeria monocytogenes infections linked to a product recalled by FreshRealm, Inc. On September 25, USDA FSIS issued a public health alert for ready-to-eat meals that may be contaminated with Listeria monocytogenes. The product subject to the alert is 12-oz. clear plastic tray packages labeled “MARKETSIDE LINGUINE WITH BEEF MEATBALLS & MARINARA SAUCE” with “best if used by” dates SEP 22, 2025; SEP 24, 2025; SEP 25, 2025; SEP 29, 2025; SEP 30, 2025; and OCT 01, 2025. In response to this investigation, FreshRealm began testing individual ingredients used to produce the meatball product, and the company’s testing of the linguine pasta samples were confirmed positive for Listeria monocytogenes. Further testing by the company is being conducted to determine if this pasta ingredient is genetically related to the outbreak strain. As of September 25, 2025, a total of 20 people infected with the outbreak strain of Listeria have been reported from 15 states (CA, FL, IL, IN, LA, MI, MN, MO, NC, NV, OH, SC, TX, UT, and VA). Of the 13 people interviewed, 7 (54%) reported eating precooked meals, and four specifically reported eating chicken fettuccine alfredo. Of 20 people with information available, 19 have been hospitalized, and 4 deaths have been reported. There is one illness in a pregnant mother that resulted in a fetal loss. @ https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-listeria-monocytogenes-chicken-fettuccine-alfredo-meals-june-2025?utm_medium=email&utm_source=govdelivery